MAXIMUS

  • Quality Clinician

    Job Locations US-NC-Raleigh
    Posted Date 9 months ago(5/6/2019 12:23 PM)
    Requisition ID
    2019-39541
    # of Openings
    8
    Job Function
    Quality
    Job Schedule
    Regular Full-Time
  • Job Description Summary

    SUMMARY
    Conduct quality review of completed Preadmission Screening and Resident Review (PASRR) Level II assessments for applicants to and residents of Medicaid-certified nursing facilities with a known or suspected serious mental illness or intellectual/developmental disability.

    ESSENTIAL FUNCTIONS:
    • Perform document-based quality control review of PASRR assessments
    • Responsible for conducting desk-based second-level review of assessments for individuals with medical conditions and/or cognitive impairments which impact their participation in daily living activities.
    • Responsible for completing and submitting assessment reviews within the respective timeline, adhering to quality benchmarks and contractual specifications, utilizing computer database system
    • Responsible for engagement and performance feedback for Assessors, including onboarding assistance, making/following up on referrals, tracking responsiveness, and informing both Recruiting and Credentialing and PASRR Program Manager in writing when performance and/or responsiveness issues arise with any Assessor
    • Must work within a tight turnaround time assuring contract compliance
    • Attends and participates in scheduled contract, committee, and all-staff meetings
    • Completes other job duties as assigned or necessary
    JOB REQUIREMENTS
    Knowledge, Skills & Abilities
    • Perform all job duties in compliance with Person First standards, HIPAA guidelines, and company confidentiality policies and procedures
    • Working knowledge and understanding of behavioral health diagnoses, psychotropic medications, medical diagnoses and prescribed medications
    • Ability to perform comfortably in a fast-paced, deadline-oriented work environment
    • Ability to multitask effectively while performing job duties, including ability to prioritize tasks and ensuring all voice mail and email messages are returned within contract standards
    • Ability to work independently with minimal day-to-day supervision
    • Excellent written and verbal communication skills
    • Excellent interpersonal skills
    • Ability to interact professionally and collegially with referral sources (hospital & nursing home staff, physicians, social service workers, etc.), state contract officers, and coworkers
    • Ability to define problems, collect data, establish facts, and draw valid conclusions
    • Intermediate skill with word processing and spreadsheet software (Microsoft Word and Excel preferred)
    Education
    The job requires a North Carolina-licensed Master’s Level Social Worker, Psych Registered Nurse, or other mental health (MH) and/or intellectual and developmental disability (IDD) professional w/similar training/experience.


    Experience
    The job requires at least four (4) years of experience working with individuals with MH and/or IDD.

     

    • High School Diploma with 0-2 years of experience.
    • May have additional training or education in area of specialization.
    • Works on assignments that are routine in nature, with responsibilities easily learned on the job.
    • Acquires job skills and learns applicable policies and procedures to complete routine tasks.
    • Able to read, understand & perform assignments within prescribed guidelines.
    • Communicates routine information in a clear and accurate way with internal & external contacts.

     

    EEO Statement: Active military service members, their spouses, and veteran candidates often embody the core competencies MAXIMUS deems essential, and bring a resiliency and dependability that greatly enhances our workforce. We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a difference for our country. We’re proud of our connections to organizations dedicated to serving veterans and their families. If you are transitioning from military to civilian life, have prior service, are a retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging and rewarding career opportunities available for you. A committed and diverse workforce is our most important resource. MAXIMUS is an Affirmative Action/Equal Opportunity Employer. MAXIMUS provides equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disabled status.

    Apply/Socialize

    Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
    Share on your newsfeed

    Need help finding the right job?

    We can recommend jobs specifically for you! Click here to get started.